SAILUSHA SOORNEEDI PA-C
NPI 1336868587
Physician Assistant in Kettering, OH
About Sailusha Soorneedi Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAILUSHA SOORNEEDI PA-C (NPI 1336868587) is an individual physician assistant in Kettering, Ohio and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sailusha Soorneedi Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Miami Valley Hospital
Acute Care Hospitals · Dayton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KETTERING, OH 45429
KETTERING, OH 45429
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sailusha Soorneedi's NPI number?
The NPI number for Sailusha Soorneedi is 1336868587. It was assigned to this individual provider in the NPPES registry on August 23, 2022.
Where is Sailusha Soorneedi located?
Sailusha Soorneedi practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8166.
What is Sailusha Soorneedi's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Sailusha Soorneedi enrolled in Medicare?
Yes. Sailusha Soorneedi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Sailusha Soorneedi accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Sailusha Soorneedi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sailusha Soorneedi affiliated with any hospitals?
According to CMS data, Sailusha Soorneedi is affiliated with Miami Valley Hospital.
When was this NPI record last updated?
The NPPES record for Sailusha Soorneedi was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sailusha Soorneedi, PA-C · NPI 1336868587
Physician Assistant physician in Kettering, Ohio. Individual provider, active in the CMS NPPES registry since August 23, 2022.
## Identity
- **NPI:** 1336868587 (Entity type: Individual)
- **Enumerated:** August 23, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3535 SOUTHERN BLVD, Kettering, OH 45429-1221
- **Phone:** (937) 395-8166
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336868587) · Data from the CMS NPPES public registry.